Adventhealth Rollins Brook
608 North Key Avenue, Lampasas, TX · AdventHealth · · NPI 1750392916
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $1,928.62 – $1,928.62 | 1 |
| Sleep study unattended CPT 95806 | not published | not published | $345.50 – $345.50 | 1 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $4,004.85 – $4,826.69 | 2 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,214.44 – $4,231.41 | 2 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $130.44 – $130.44 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $351.04 – $351.04 | 1 |
| Slp pure tone screening CPT 92551 | not published | not published | $45.78 – $45.78 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $419.77 – $419.77 | 1 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $280.28 – $280.28 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $58,353.56 – $58,353.56 | 1 |
| Small animal inoculation CPT 87003 | not published | not published | $15.16 – $64.83 | 2 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Small bowel endoscopy CPT 44382 | not published | not published | $982.40 – $2,234.24 | 2 |
| Small bowel endoscopy CPT 44384 | not published | not published | $3,748.85 – $4,826.69 | 2 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $982.40 – $2,234.24 | 2 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,946.75 – $3,432.54 | 2 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $5,976.04 – $8,715.36 | 2 |
| Smear fluorescent and/or acid fast stain CPT 87206 | not published | not published | $4.85 – $20.75 | 2 |
| Smear gram stain CPT 87205 | $108.96 | $108.96 | $3.84 – $16.44 | 2 |
| Smear nasal eosinophil CPT 89190 | not published | not published | $5.21 – $22.29 | 2 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $168.03 | $168.03 | $5.39 – $23.06 | 2 |
| Smear wet mount CPT 87210 | $129.55 | $129.55 | $5.24 – $22.41 | 2 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $271.22 – $1,160.20 | 2 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $166.68 – $713.02 | 2 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $42.30 – $180.95 | 2 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $45.96 – $196.62 | 2 |
| Sodium 24 hour urine CPT 84300 | $95.48 | $95.48 | $4.55 – $19.48 | 2 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $28.66 | $28.66 | $57.37 – $57.37 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $28.68 – $28.68 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $14.32 – $14.32 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $88.19 | $88.19 | $0.19 – $0.19 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $532.31 | $532.31 | $6.16 – $6.16 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $1,048.07 | $1,048.07 | $325.86 – $325.86 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $108.83 | $108.83 | $4.33 – $18.52 | 2 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $3.00 – $3.00 | 1 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,210.78 – $2,301.95 | 2 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,076.25 – $2,301.95 | 2 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,301.95 – $2,959.66 | 2 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $941.72 – $2,301.95 | 2 |
| Somatosensory testing CPT 95927 | not published | not published | $410.72 – $410.72 | 1 |
| Somatropin injection HCPCS J2941 | not published | not published | $210.29 – $210.29 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,301.95 – $2,690.60 | 2 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $807.18 – $2,301.95 | 2 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $38.46 – $38.46 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Special physics consult CPT 77370 | not published | not published | $488.41 – $488.41 | 1 |
| Special pump services CPT 99190 | not published | not published | $1,384.73 – $1,384.73 | 1 |
| Special pump services CPT 99191 | not published | not published | $1,029.53 – $1,029.53 | 1 |
| Special pump services CPT 99192 | not published | not published | $685.42 – $685.42 | 1 |
| Special radiation dosimetry CPT 77331 | not published | not published | $74.92 – $74.92 | 1 |
| Special radiation treatment CPT 77470 | not published | not published | $99.91 – $99.91 | 1 |
| Special teletx port plan CPT 77321 | not published | not published | $172.06 – $172.06 | 1 |
| Specific gravity body fluid CPT 84315 | not published | not published | $2.95 – $12.63 | 2 |
| Specimen fat stain CPT 89125 | not published | not published | $5.29 – $22.64 | 2 |
| Speech audiometry complete CPT 92556 | not published | not published | $128.71 – $128.71 | 1 |
| Speech evaluation complex CPT 70371 | not published | not published | $897.20 – $897.20 | 1 |
| Speech recep thresh CPT 92555 | not published | not published | $128.71 – $128.71 | 1 |
| Sperm antibody test CPT 89325 | not published | not published | $9.60 – $41.08 | 2 |
| Sperm evaluation test CPT 89329 | not published | not published | $17.63 – $75.42 | 2 |
| Sperm identification CPT 89257 | not published | not published | $190.46 – $190.46 | 1 |
| Sperm isolation complex CPT 89261 | not published | not published | $190.46 – $190.46 | 1 |
| Sperm isolation simple CPT 89260 | not published | not published | $190.46 – $190.46 | 1 |
| Sperm washing 58323 CPT 58323 | not published | not published | $7.68 – $4,826.69 | 2 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $6,063.16 – $8,715.36 | 2 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,930.23 – $6,108.74 | 2 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $781.31 – $4,826.69 | 2 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $14,875.89 – $14,875.89 | 1 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $974.44 – $974.44 | 1 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | not published | not published | $181.76 – $181.76 | 1 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $532.65 – $532.65 | 1 |
| Spleen imaging CPT 78185 | not published | not published | $609.11 – $609.11 | 1 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,506.89 – $4,826.69 | 2 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $3,036.30 – $4,826.69 | 2 |
| Splicing of ureters CPT 50770 | not published | not published | $1,502.38 – $4,826.69 | 2 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,721.61 – $8,715.36 | 2 |
| Split blood or products CPT 86985 | not published | not published | $552.48 – $552.48 | 1 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $41.62 – $41.62 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $79.00 – $4,826.69 | 2 |
| Sputum specimen collection CPT 89220 | not published | not published | $552.48 – $552.48 | 1 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $7,400.43 – $7,400.43 | 1 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,827.19 – $4,826.69 | 2 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,339.75 – $4,826.69 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $404.54 – $4,826.69 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $291.91 – $4,826.69 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $157.86 – $2,924.19 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.